The interdisciplinary instrument was useful and appropriate for associating nutritional status with food acceptance, adding value for teamwork.

Objetivo: identificar a frequência dos diagnósticos de enfermagem relacionados à nutrição e as intervenções de enfermagem no pós-operatório de cirurgia de enxerto ósseo alveolar durante a internação. Método: estudo descritivo e quantitativo, realizado em um hospital público especializado. A amostra constituiu-se de 150 pacientes, avaliados por meio de anamnese e observação, com foco na aceitação alimentar. Resultados: os diagnósticos de enfermagem relacionados à nutrição foram elaborados segundo a taxonomia da North American Nursing Diagnosis Association-International (NANDA-I) e evidenciou-se predomínio da disposição para nutrição melhorada. As intervenções propostas de acordo com o referencial da Nursing Interventions Classifications (NIC) relacionaram-se ao ensino da dieta prescrita, promoção do autocuidado e monitoração nutricional. Conclusão: o presente estudo contribuiu para o trabalho interdisciplinar entre a nutrição e a enfermagem no processo de cuidar. ABSTRACTObjective: to identify the frequency of nutrition-related nursing diagnoses and postoperative nursing interventions in alveolar bone graft surgery during hospitalization. Method: this descriptive, quantitative study took place at a specialized public hospital in a sample of 150 patients evaluated by anamnesis and observation focusing on food acceptance. Results: the nutrition-related nursing diagnoses were prepared according to the taxonomy of the North American Nursing Diagnosis Association-International (NANDA-I), and displayed a predominant willingness to improve nutrition. The interventions proposed according to the frame of reference of Nursing Interventions Classifications (NIC) related to teaching prescribed diet, promoting self-care, and monitoring nutrition. Conclusion: this study contributed to interdisciplinary work between nutrition and nursing in the care process. RESUMENObjetivo: identificar la frecuencia de los diagnósticos de enfermería relacionados con la nutrición y las intervenciones de enfermería en el postoperatorio de cirugía de injerto óseo alveolar postoperatoria durante la hospitalización. Método: estudio descriptivo y cuantitativo, realizado en un hospital público especializado. La muestra consistió en 150 pacientes, evaluados mediante anamnesis y observación, enfocando la aceptación de alimentos. Resultados: los diagnósticos de enfermería relacionados con la nutrición se elaboraron según la taxonomía de la North American Nursing Diagnosis Association-International (NANDA-I) y pusieron en evidencia un predominio de la disposición de mejorar la nutrición. Las intervenciones propuestas de acuerdo con el marco de la Nursing Interventions Classifications (NIC) fueron relacionados con la enseñanza de la dieta prescrita, la promoción del autocuidado y el monitoreo nutricional. Conclusión: este estudio contribuyó al trabajo interdisciplinario entre la nutrición y la enfermería en el proceso de atención. DOI: http://dx.doi.org/10.12957/reuerj.2017.19872

OBJETIVOS: estudar a viscosidade da fórmula de partida espessada para os exames de videofluoroscopia de deglutição após acréscimo de contraste de Bário. MÉTODOS: copos de 200 ml de leite foram preparados em três consistências com sete espessantes. A viscosidade média foi verificada com viscosímetro nas temperaturas ambiente e acima de 40ºC, e após acrescentar o contraste de Bário em diluições a 50%, 25% e 12,5%. Os preparados foram expostos à fluoroscopia para obtenção de imagens que foram avaliadas quanto à visualização do preparado nas diferentes consistências, diluições e espessantes. RESULTADOS: comparando valores médios em centipoise(cP), observou-se que a viscosidade na consistência pudim foi significantemente menor na temperatura acima de 40ºC do que na temperatura ambiente. Nas consistências néctar e pudim o acréscimo de Bário resultou em mudança significante da viscosidade para mel. Não houve mudança na qualidade das imagens entre as diluições de Bário à 50% e 25%. CONCLUSÃO: o acréscimo do Bário resulta em mudanças nos valores de viscosidade que afetaram a consistência do preparado espessado para néctar e pudim. Uma redução da diluição do contraste para 25% não resulta em mudança clinicamente significante na qualidade da imagem. Os achados sugerem a importância da padronização do preparado para a fluoroscopia em relação à viscosidade e diluição do Bário visando garantir a reprodutibilidade do exame, prevenir falhas diagnósticas e otimizar as orientações para modificações da dieta na disfagia orofaríngea infantil.

Objective To characterize the stomatognathic system of individuals with Treacher Collins syndrome (TCS) by assessing bite force (BF) and masticatory performance (MP) and to evaluate the nutritional status (NS) of this population through anthropometric measurements. Design Cross-sectional study. Setting A public tertiary care hospital. Patients Forty-one individuals were divided into 2 groups: (1) Control (CON): 20 control adults with class I skeletal pattern and (2) TCS: 21 adults with TCS. Interventions BF measurement was assessed using a gnathodynamometer (IDDK Kratos). MP assessment was done using Image J-NIH software, by calculating the particles size of food submitted to standard chewing cycles ). NS was assessed based on body mass index (BMI). Main Outcome Measures Based on the craniofacial dysmorphology, it is our hypothesis that this population present a dysfunctional masticatory system, which can negatively impact NS. Results Means BF values for the TCS were significantly reduced when compared with the CON group and corresponded to 170.9  ±  109.4N and 431.6  ±  134.1N (right molar [RM]) and 171.2  ±  93.9N and 427.4  ±  147.8N (left molar [LM]), respectively ( P < .05). Although no significant differences were observed, the mean particle size of the TCS was greater when compared with the CON group and corresponded to 1.58  ±  1.93 mm2 and 0.66  ±  0.52 mm2, respectively. Although statistically similar mean values of BMIs were observed on both groups (CON  =  23.4  ±  4.7/TCS  =  23.4  ±  6.1), underweight and overweight individuals were found in 48% of the individuals with TCS and in 15% of the CON group participants. Conclusion Individuals with TCS showed a significant BF reduction, but no differences were observed in MP and NS when compared with the control individuals.

Objective: This study aimed to analyze the nutritional status of patients with cleft lip and palate at the time of admission and time of performing primary lip and/or palate surgeries at the Hospital for Rehabilitation of Craniofacial Anomalies of Bauru, Universidade São Paulo. Methods: A retrospective observational study was conducted using medical records of individuals with cleft lip and/or palate who underwent primary lip and/or palate surgeries between 2011 and 2021. Anthropometric data were collected upon hospital admission and before primary lip and/or lip surgery. The Z-scores of the growth curves were calculated according to age and sex using the World Health Organization (WHO) Anthro and WHO AnthroPlus programs. Statistical analysis was performed using the Spearman, analysis of variance (ANOVA), and Student’s t-tests. Results: Of the 218 participants, 50.46% were men, and most of the patients originated from the southeast region (87.16%) with prevalence of cleft palate (52.75%). A correlation was found between weight/height and weight/age indices with the delay in performing primary lip surgery and height/age with the delay in primary palate and lip surgery (Student’s t-test, p < 0.05), and no correlation was found between the nutritional/nutrological status and socioeconomic profile (Spearman correlation test, p < 0.05) and with the place of origin (ANOVA test, p < 0.05). Conclusion: A correlation was found between the weight/height and height/age indices with the delay in performing primary lip surgery and height/age with the delay in primary surgery of the palate and lip.